Multicentre Randomized Controlled Trial of a Nurse-Led Sexual Rehabilitation Intervention to Rebuild Sexuality and Intimacy After Treatment for Gynecological Cancer.

IF 3.3 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2024-10-01 DOI:10.1002/pon.70004

Ka Ming Chow, Janine Porter-Steele, Ka Yi Siu, Wai Man Shum, Woon Lai Lee, Kai Chow Choi, Carmen W H Chan

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引用次数: 0

Abstract

Objective: To evaluate the effectiveness of a sexual rehabilitation program, SEXHAB, in improving sexual functioning, reducing sexual distress, and enhancing marital satisfaction for women after gynecological cancer treatment.

Methods: This is a randomized controlled trial that included 150 women newly diagnosed with gynecological cancer from three public hospitals in Hong Kong. Participants were randomly assigned to the intervention group (n = 78) to receive the SEXHAB or to an attention control group (n = 72) to receive attention. The SEXHAB comprises four individual- or couple-based sessions with three major components: information provision, cognitive-behavioral therapy and counseling using motivational interviewing skills. The outcomes were measured at baseline (T0), upon completion of the program (T1) and 12-month post-treatment (T2). Semi-structured interviews were also conducted with the SEXHAB group participants to explore their experiences with and opinions toward the program.

Results: At both follow-ups, there were no statistically significant differences between groups in improving sexual functioning, sexual distress and marital satisfaction. Nevertheless, participants in the SEXHAB group reported their partners having significantly greater sexual interest at T1 (76% vs. 52%, rate ratio: 1.46, 95% CI: 1.07 to 1.99, p = 0.024) and T2 (74% vs. 48%, rate ratio: 1.55, 95% CI: 1.11 to 2.10, p = 0.014). From the qualitative interviews, the interviewees who resumed sexual activity reported positive experiences in rebuilding sexuality and intimacy.

Conclusions: Despite the quantitative results are negative, the qualitative findings suggest potential benefits of the SEXHAB for women resuming sexual activities after treatment for gynecological cancer. Further studies with longer intervention period and follow-ups are needed to confirm the intervention effects.

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由护士指导的性康复干预多中心随机对照试验，旨在重建妇科癌症治疗后的性生活和亲密关系。

目的评估性康复计划 SEXHAB 在改善妇科癌症治疗后妇女的性功能、减少性困扰和提高婚姻满意度方面的效果：这是一项随机对照试验，共纳入了来自香港三家公立医院的 150 名新诊断出患有妇科癌症的女性。参与者被随机分配到干预组（n = 78）接受 SEXHAB，或分配到关注对照组（n = 72）接受关注。SEXHAB由四个以个人或夫妇为基础的环节组成，包括三个主要部分：提供信息、认知行为疗法和使用动机访谈技巧的咨询。结果在基线（T0）、计划完成时（T1）和治疗后 12 个月（T2）进行测量。此外，还对 SEXHAB 小组的参与者进行了半结构化访谈，以了解他们的经历和对项目的看法：在两次随访中，各组在改善性功能、性困扰和婚姻满意度方面均无显著差异。然而，SEXHAB组的参与者在T1（76% vs. 52%，比率比：1.46，95% CI：1.07-1.99，p = 0.024）和T2（74% vs. 48%，比率比：1.55，95% CI：1.11-2.10，p = 0.014）时表示他们的伴侣对性有更大的兴趣。在定性访谈中，恢复性生活的受访者表示在重建性生活和亲密关系方面有积极的体验：尽管定量研究的结果是负面的，但定性研究的结果表明，SEXHAB 对接受妇科癌症治疗后恢复性活动的妇女有潜在的益处。要确认干预效果，还需要进行更长时间的干预和随访研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.